title: Post-partum urinary retention in a teaching hospital in southwestern Nigeria.
abstract: OBJECTIVE
  This study was undertaken to determine the prevalence of post-partum urinary retention after vaginal delivery and to examine the associated risk factors.
  
  
  METHODS
  This was a prospective observational study carried out over a 2-month period at the major university teaching hospital in southwestern Nigeria.
  
  
  RESULTS
  Prevalence of post-partum urinary retention was 29.4%. The majority (93.3%) of women had covert urinary retention while 6.7% had overt urinary retention. From the bivariate analysis, episiotomy, reduced voiding desire and primiparity were risk factors for post-partum urinary retention (66.6% vs 30.6%; P = 0.017; 47.75% vs 13.9%; P = 0.037; and 60.0% vs 30.6%; P = 0.05; respectively).
  
  
  CONCLUSIONS
  Post-partum urinary retention, particularly covert retention, is a common complication of labor and delivery in our clinical practice but is rarely reported in the published work, especially from this part of the world. No factor has been found to be independently associated with its occurrence, hence there is need for vigilance in the immediate post-partum period as most cases of urinary retention would have been avoided if women were encouraged to void early following delivery.
authors.affiliation: Department of Obstetrics, Gynecology & Perinatology, Obafemi Awolowo University, Ile-Ife, Osun. ajenifujako@yahoo.com
authors.forename: Kayode Olusegun
authors.initials: KO
authors.lastname: Ajenifuja
authors.forename: IfeOluwa Ololade
authors.initials: IO
authors.lastname: Oyetunji
authors.forename: Ernest Okechukwu
authors.initials: EO
authors.lastname: Orji
authors.forename: Clement Akinfolarin
authors.initials: CA
authors.lastname: Adepiti
authors.forename: Olabisi Morebise
authors.initials: OM
authors.lastname: Loto
authors.forename: Mikhail Aramide
authors.initials: MA
authors.lastname: Tijani
authors.forename: Francis Oriola
authors.initials: FO
authors.lastname: Dare
mesh_terms: D000328:Adult; D004841:Episiotomy / Q000009:adverse effects; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology; D010298:Parity; D049590:Postpartum Period; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D012720:Severity of Illness Index; D016055:Urinary Retention / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology; D014555:Urination Disorders / Q000503:physiopathology; D055815:Young Adult
keywords: catheterization; episiotomy; labor; post-partum; urinary retention